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Young At Heart Dentistry
Pediatric Dentist in Pueblo, Colorado
NPI 1962615492

Young At Heart Dentistry is a Pediatric Dentist based in Pueblo, CO and is specialized in Pediatric Dentistry. Young At Heart Dentistry practices in Pueblo, CO. The NPI Number for Young At Heart Dentistry is 1962615492 and holds a License No. 7055 (Colorado).

The current practice location address for Young At Heart Dentistry is 2603 Vinewood Ln, Pueblo, CO and can be reached out via phone at 719-564-6464 and via fax at 719-564-1818.

Location: 2603 Vinewood Ln, Pueblo, CO, 81005-3370
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962615492
Provider Name
Young At Heart Dentistry
Credential
Provider Entity Type
Organization
Address
2603 Vinewood Ln, Pueblo, CO, 81005-3370
Phone Number
719-564-6464
Fax Number
719-564-1818
Provider Enumeration Date
05/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
91284546 05 CO
institution
Provider Business Practice Location Address Details
Address
2603 Vinewood Ln
City
Pueblo
State
Colorado
Zip
81005-3370
Phone Number
719-564-6464
Fax Number
719-564-1818
person
Provider Business Mailing Address Details
Address
2603 Vinewood Ln
City
Pueblo
State
Colorado
Zip
81005-3370
Phone Number
719-564-6464
Fax Number
719-564-1818
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
7055 (Colorado)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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